Relationship between significant moments and change in the psychotherapy: a case study

Cílem této případové studie bylo identifikovat významné okamžiky v terapii a následně je propojit se změnou klientových obtíží. Klientem zde byl muž (31 let) s blíže neurčenou dlouhodobou depresivní symptomatikou a psychosomatickými obtížemi. Klient v rámci výzkumu absolvoval s terapeutem 20 individuálních sezení. Data byla sbírána pomocí kvalitativních a dotazníkových metod. Po následné analýze bylo získáno pět kategorií spojitostí mezi významnými okamžiky a změnou klientových obtíží. Jsou jimi „Přijetí odpovědnosti“, „Zvýšení sebevědomí a nalezení vlastní hodnoty“, „Nalezení mužského vzoru“, „Uvědomění si, v čem je dospělost“, „Začlenění do společnosti“. Velkou roli na terapeutické změně zastává terapeutický vztah mezi terapeutem a klientem, důvěra a pocit, že je klientovi nasloucháno.This case study sought to identify possible relationship between significant moments in therapy and the  change in client difficulties. The client was a 31-year-old man suffering from unspecified long term depressive symptomatology and psychosomatic problems. As part of the research, the client had undergone 20 sessions of individual therapy. The data was collected using combination of questionnaire and qualitative methods. After subsequent analysis we identified five categories capturing the links between significant moments and changes in clients difficulties. They are: „Acceptance of responsibility“, „Increase of Self-esteem and Finding of Own Value“, „Finding of Male Ideal“, „Realise What Adulthood Is“. Thereby, the therapeutic relationship between the therapist and the client, the trust and the feeling that the client is being listened to play a big role in the therapeutic change

Assessment of lipid peroxidation in dairy cows with subclinical and clinical mastitis

Mastitis is still one of the major causes of economic losses in dairy sector. The routine application of bacteriologic examination of milk samples is often insufficient and for this reason, alternative parameters are used to identify trends in the development of the udder health. Therefore, the objectives of this study were to determine the relationship of oxidative product levels, using malondialdehyde (MDA) as a marker on occurrence of mastitis and its causing pathogens. Dairy herd of 223 Slovak spotted cattle were tested for etiology and occurrence of mastitis based on assessment of clinical signs, abnormal udder secretions, Californian Mastitis Test (CMT) with subsequent collecting of milk samples for bacteriological examination. From 892 quarter milk samples were selected for MDA detection 51 subclinical (SM) and 26 clinical mastitis (CM) quarters with positive CMT score and positive bacteriological examination of Staphylococcus spp. and Streptococcus spp. as well 40 healthy quarters. Results showed that among the current pathogens of the mammary gland belong CNS, S. aureus, S. sanguinis, S. uberis and E. coli, which were the most frequently isolated from SM and CM. The highest MDA level was observed from clinical cases of mastitis however, increased MDA levels were detectable from subclinical cases. Bacterial isolates from subclinical quarter milk samples are different levels of MDA. In this study, we found that quarter milk samples infected with S. uberis were higher compared to other pathogens. In conclusion, differences in both severity of mastitis and mastitic pathogens were associated with differences of oxidative products in infected udders

Effects of working conditions on work activity and job satisfaction in employees

This bachelor thesis deals with working conditions and its effect on job satisfaction of employees in open offices. Theoretical part of this thesis describes particular working conditions, their risks and consequences. In addition the theoretical part dedicates the working activity and its standards and evaluation. Last theme is about job satisfaction and its effect on working behavior of employees. The practical part is made into qualitative case study of specific organisation in the Czech Republic. First a questionnaire survey in the company was performed and then interviews with selected employees were made

Prevention of Clostridium diffcile infection from the point of view of general nurse

Bakterie Clostridium difficile v současnosti patří mezi nejvýznamnější původce infekcí spojených se zdravotní péčí. Klostridiová infekce způsobuje závažné komplikace, jako je například megacolon, a prodlužuje léčbu. Proto je nesmírně důležité, aby všeobecné sestry znaly preventivní opatření, která zabraňují přenosu infekce na zdravého pacienta, a znaly specifika ošetřovatelské péče. V článku jsou prezentovány výsledky z výzkumného šetření. Výzkum byl proveden na všeobecných sestrách pracujících na standardních odděleních interního a chirurgického typu. Cílem bylo zjistit znalosti o preventivních opatření u pacienta s klostridiovou infekcí, základní znalosti o bakterii Clostridium difficile a specifika v oblasti ošetřovatelské péče u pacienta s klostridiovou infekcí.Clostridium difficile is currently one of the most important causes of healthcare associated infections. Clostridium infection causes serious complications such as megacolon and prolongs treatment. Therefore, it is extremely important that general nurses are aware of the precautions that prevent the transmission of infection to a healthy patient and know the specifics of nursing care. The results of the research investigation are presented in the attached article. The research was conducted on general nurses working in standard internal medicine and surgery wards. The aim was to find out the knowledge about preventive measures for a patient with clostridial infection, basic knowledge about Clostridium difficile and specifics in nursing care for a patient with clostridial infection.

Incorporating Rainfall-Runoff Events into Nitrate-Nitrogen and Phosphorus Load Assessments for Small Tile-Drained Catchments

Rainfall-runoff events significantly influence water runoff and the loss of pollutants from tile-drained agricultural land. We monitored ten small (4 to 38 ha) tile-drained catchments in Czechia for three to five years (2012 to 2016). The discharge was measured continuously; a regular 14-day scheme of water quality monitoring was accompanied with event sampling provided by automatic samplers in 20 to 120 min intervals. A new semi-automated algorithm was developed for the identification of runoff events (RE) based on discharge and water temperature changes. We then quantified the share of RE on the total runoff and the N and P losses, and we compared six methods for nutrient load estimation on an annual and monthly basis. The results showed considerable differences among the monitored sites, seasons, and applied methods. The share of RE on N loads was on average 5% to 30% of the total annual load, whereas for P (dissolved and total), the share of RE was on average 10% to 80% on the total annual load. The most precise method for nutrient load estimation included the RE. The methods based on point monitoring of the discharge and water quality underestimated the loads of N by 10% to 20% and of P by 30% to 80%. The acquired findings are crucial for the improvement of nutrient load assessment in tile-drained catchments, as well as for the design of various mitigation measures on tile-drained agricultural land